Revised: ARHU 04/20/2020
Stockton University - Independent Study Form
Term and Year
Fall Spring Summer Session IV 20
Academic Information
(to be completed by faculty)
Credit Hours
Avg. Weekly
Contact Hours
Meeting
Location
Course
Acronym
Course
Number
Level of Project
Freshman Sophomore Junior Senior Graduate
Project Type
Independent Study Senior Project Capstone/Thesis
Project for Distinction Online Program Independent Study*
Student Name (last, first)
Z number
Phone
Stockton Email
Faculty Name (last, first) Z number
Office Phone Stockton Email
To be completed by School Dean
Acronym
Number
ECH
This is a W course^
This is a Q course^
Other:
__________________________
GENS Dean Signature
To be completed by
Student Records
CRN #
Project Title
Project Description and
Requirements **
ELOs Covered
Adapting to Change
Communication Skills
Creativity & Innovation
Critical Thinking
Ethical Reasoning
Global Awareness
Information Literacy &
Research Skills
Program Competence
Quantitative Reasoning
Teamwork & Collaboration
ELO Description
Materials, Readings,
and Assignments
Evaluation: Methods
and Schedules
Project Sponsored By:
______________________________________________
Faculty Signature
Date
Project Submitted By:
_____________________________________________
Student Signature
Date
Graduate Program Director
(for GRAD programs only)
_____________________________________________
Graduate Program Director Signature (if applicable)
_______________________
Date
If General Studies:
_____________________________________________
Dean (GENS) Signature (if applicable)
_______________________
Date
Project Approved By:
_____________________________________________
Dean (Faculty School) Signature
_______________________
Date
^ Insert a 1 or 2 only in the box.
*For Graduate Online Programs only.
** Course syllabus may be attached if desired, provided all requested information is included.
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